Highland Hospice
Caithness & Sutherland

Tartan Ball
Saturday 9th March 2002
Portland Arms Hotel, Lybster

Ticket Request Form

Address........................................................................................................................................

.....................................................................................................................................................

Postcode................................................ Telephone......................................................................

I would like.......tickets @£20.00 each, and enclose full payment of £...................
(Please make cheques payable to Highland Hospice)

Sorry I am unable to attend, but enclose a donation of                  £...................

I would like to donate a prize for the raffle.................................................................................

Please complete and return to:

Martin Edwards, Highland Hospice, Ness House, 1 Bishop's Road, Inverness, IV3 5SB
Tel 01463 243132   Fax 01463 242758